EJVES Vascular Forum最新文献

{"title":"A Global Survey of Follow Up Imaging After EVAR Reminds Us That We Are Still Speaking Different Languages","authors":"Ruth A. Benson","doi":"10.1016/j.ejvsvf.2025.10.001","DOIUrl":"10.1016/j.ejvsvf.2025.10.001","url":null,"abstract":"","PeriodicalId":36502,"journal":{"name":"EJVES Vascular Forum","volume":"64 ","pages":"Pages 197-198"},"PeriodicalIF":1.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145473770","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reasons for Delayed Carotid Endarterectomy for Symptomatic Carotid Stenosis in Norway 2018–2019: A National Audit","authors":"Martin Altreuther ,&nbsp;Celine Harlinn Sørlie ,&nbsp;Benedicte Skaug Hansen ,&nbsp;Christian Lyng ,&nbsp;Karsten Myhre ,&nbsp;Toril Rabben ,&nbsp;Ramez Bahar ,&nbsp;Tonje Berglund ,&nbsp;Dorte Bundgaard ,&nbsp;Erik Mulder Pettersen","doi":"10.1016/j.ejvsvf.2025.07.003","DOIUrl":"10.1016/j.ejvsvf.2025.07.003","url":null,"abstract":"<div><h3>Objective</h3><div>Symptomatic carotid stenosis is one of the main causes of <em>amaurosis fugax</em>, transient ischaemic attack (TIA), and stroke. National and international guidelines recommend treatment with carotid endarterectomy (CEA) within 14 days of the index event. In Norway, the proportion of patients operated on within 14 days increased from 65% in 2015 to 83% in 2020. A national clinical audit cross sectional study was performed to identify the reasons for delayed CEA that could be addressed by quality improvement.</div></div><div><h3>Methods</h3><div>Patients operated on by CEA for symptomatic stenosis more than 14 days after the index event in 2018 and 2019 were identified from the Norwegian Registry for Vascular Surgery. The local registrar assessed the reason for the delay, based on the medical record. Possible reasons for delay were categorised as medical reasons, doctor delay, patient delay, and other reasons.</div></div><div><h3>Results</h3><div>Fourteen units performed 686 CEA for symptomatic stenosis in Norway in the study period, of which 179 (26%) were delayed. Ten units participated in the audit, accounting for 120 of 179 (67%) delayed CEAs. The reason for delay was identified for all patients in the participating units. There was a medical reason for the delay in 23 patients. There was doctor delay in 54 cases, patient delay in 28 cases, and a combination of patient delay and doctor delay in 10 cases. The reason for the delay was travel abroad in five cases.</div></div><div><h3>Conclusion</h3><div>Delayed CEA for symptomatic stenosis is usually due to doctor delay or patient delay. Medical reasons account for 19% of delayed operations. This implies that quality improvement is feasible by addressing doctor and patient delay. Healthcare providers should implement strategies to decrease the proportion of delayed CEA for symptomatic stenosis. Patient delay should be addressed with regular information campaigns.</div></div>","PeriodicalId":36502,"journal":{"name":"EJVES Vascular Forum","volume":"64 ","pages":"Pages 78-82"},"PeriodicalIF":1.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144863992","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Towards an Off the Shelf Multibranch Device for Endovascular Aortic Arch Repair?","authors":"Salomé Kuntz ,&nbsp;Nabil Chakfe","doi":"10.1016/j.ejvsvf.2025.06.001","DOIUrl":"10.1016/j.ejvsvf.2025.06.001","url":null,"abstract":"","PeriodicalId":36502,"journal":{"name":"EJVES Vascular Forum","volume":"64 ","pages":"Pages 101-102"},"PeriodicalIF":1.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145007687","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Physician Made Biological Stent Graft for the Replacement of a Left Renal Vein Leiomyosarcoma","authors":"Francesca Maria Feroldi ,&nbsp;Bruno Gargiulo ,&nbsp;Magali Fau ,&nbsp;Xavier Berard","doi":"10.1016/j.ejvsvf.2025.09.006","DOIUrl":"10.1016/j.ejvsvf.2025.09.006","url":null,"abstract":"<div><h3>Introduction</h3><div>Primary venous leiomyosarcoma is an unusual and aggressive tumour; its presentation on the renal vein is rare. This case study presents a 50 year old man with severe obesity who was incidentally diagnosed with a left renal vein leiomyosarcoma during pre-operative evaluations for a cholecystectomy. Following a multidisciplinary discussion with oncology and vascular surgeons, the patient underwent complete resection of the left renal vein along with the mass.</div></div><div><h3>Technique</h3><div>This article proposes an innovative surgical technique for the reconstruction of the left renal vein in case of a left renal vein leiomyosarcoma. Reconstruction was achieved using a physician made biological stent graft, employing a nitinol bare stent wrapped in a pericardial patch. The video provides a step by step explanation of the procedure. Isolation and the surgical technique for the reconstruction of the left renal vein following <em>en bloc</em> resection of the leiomyosarcoma are shown, followed by reconstruction of the vein using a nitinol stent covered with bovine pericardium. Several precautions were adopted to minimise the risk of intestinal fistula, including heterotopic graft re-implantation and omentoplasty.</div></div><div><h3>Discussion</h3><div>Complete surgical excision remains the cornerstone of vein sarcoma treatment and offers the best chance for disease control. The literature has only reported <em>en bloc</em> resection of renal vein sarcomas with nephrectomy. This case report presents an innovative surgical technique for left renal vein replacement, showing a potential alternative in the management of this rare condition in order to preserve the vein.</div></div>","PeriodicalId":36502,"journal":{"name":"EJVES Vascular Forum","volume":"64 ","pages":"Pages 183-185"},"PeriodicalIF":1.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145361543","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Acknowledgement of Reviewers","authors":"","doi":"10.1016/S2666-688X(25)00089-9","DOIUrl":"10.1016/S2666-688X(25)00089-9","url":null,"abstract":"","PeriodicalId":36502,"journal":{"name":"EJVES Vascular Forum","volume":"64 ","pages":"Pages ii-iii"},"PeriodicalIF":1.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145796587","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Artificial Intelligence (AI) in Imaging Characterisation: Universality and Availability Will Rule Them All","authors":"Eduardo Arrea Salto ,&nbsp;Marion Carrier","doi":"10.1016/j.ejvsvf.2025.08.001","DOIUrl":"10.1016/j.ejvsvf.2025.08.001","url":null,"abstract":"","PeriodicalId":36502,"journal":{"name":"EJVES Vascular Forum","volume":"64 ","pages":"Pages 103-104"},"PeriodicalIF":1.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145117679","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Remember Chylous Ascites After Open Aneurysm Repair","authors":"Arindam Chaudhuri","doi":"10.1016/j.ejvsvf.2025.05.007","DOIUrl":"10.1016/j.ejvsvf.2025.05.007","url":null,"abstract":"","PeriodicalId":36502,"journal":{"name":"EJVES Vascular Forum","volume":"64 ","pages":"Page 49"},"PeriodicalIF":1.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144570478","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Open Repair of Isolated Internal Iliac Artery Aneurysm in a Young Patient With Loeys–Dietz Syndrome","authors":"Ezra Y. Koh ,&nbsp;Dianna M. Milewicz ,&nbsp;Thanila A. Macedo ,&nbsp;Gustavo S. Oderich","doi":"10.1016/j.ejvsvf.2025.04.006","DOIUrl":"10.1016/j.ejvsvf.2025.04.006","url":null,"abstract":"<div><h3>Introduction</h3><div>Isolated internal iliac artery aneurysms in the absence of aorto-iliac disease are exceedingly rare. The case of a 41 year old woman who presented after experiencing several weeks of lower abdominal pain is reported. She was diagnosed with a large, isolated right internal iliac artery aneurysm.</div></div><div><h3>Report</h3><div>Patient medical records were reviewed retrospectively. The patient underwent genetic evaluation, after which she was diagnosed with Loeys–Dietz syndrome type I. Given her age and heritable aortic disease, her aneurysm was treated by open surgical repair via a right retroperitoneal approach with an interposition bypass graft. The patient's hospital course was uneventful, and she was discharged home in good condition.</div></div><div><h3>Discussion</h3><div>This report demonstrates an open surgical technique to treat an isolated iliac aneurysm in a patient with underlying heritable vascular disease.</div></div>","PeriodicalId":36502,"journal":{"name":"EJVES Vascular Forum","volume":"64 ","pages":"Pages 96-100"},"PeriodicalIF":1.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145003960","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Midterm Aortic Neck Evolution after EndoSuture Aneurysm Repair: a Single Centre Retrospective Analysis","authors":"Raffaele Pio Ammollo ,&nbsp;Nicolas Mauchien ,&nbsp;Alexandre Oliny ,&nbsp;Marine Bordet ,&nbsp;Nellie Della Schiava ,&nbsp;Antoine Millon","doi":"10.1016/j.ejvsvf.2025.09.002","DOIUrl":"10.1016/j.ejvsvf.2025.09.002","url":null,"abstract":"<div><h3>Objectives</h3><div>Long term results from large international registries have shown satisfactory results in terms of type 1 endoleak (EL1a) prevention and sac shrinkage using EndoSuture aneurysm repair (ESAR) in patients with a hostile aortic neck; however, little is known about the midterm behaviour of the aortic neck after ESAR.</div></div><div><h3>Methods</h3><div>This study retrospectively analysed the aortic neck evolution and overall results of ESAR procedures performed at this institution between September 2017 and August 2020. Patients with a hostile aortic neck, and or who were unfit for elective open repair, and or presented with abdominal aortic target vessel or iliac anatomy unsuitable for a fenestrated endograft (FEVAR), and or for whom there was insufficient time for FEVAR manufacturing were included.</div></div><div><h3>Results</h3><div>Twenty-three patients were included (male 22/23, 96%; median age 75 years, range 58–87 years), and were followed up for 36.5 ± 16.3 months. Technical and procedural success rates were 100% and 96%, respectively. No aortic rupture or dissection was encountered peri-operatively and no displacement, migration, or unachieved penetration of the EndoAnchors was observed. The median operating time was 145 (range 87–236) minutes. No aortic neck dilation was observed at six, 12, 24, and 36 months. There was no persistent or new EL1a or limb occlusion. The 30 day and one year mortality rate was 0%. Six non-aneurysm related deaths were observed during follow up (26%). The overall survival at one, two, and three years was 100%, 100%, and 74%, respectively.</div></div><div><h3>Conclusion</h3><div>This analysis of aortic neck evolution three years after ESAR suggests that EndoAnchors may help prevent aortic neck and suprarenal aortic dilatation in the midterm, without re-interventions for type EL1a. ESAR is a feasible procedure in patients with hostile aortic neck, and/or who are unfit for open surgery, and/or in whom anatomical or technical constraints prevent the use of FEVAR.</div></div>","PeriodicalId":36502,"journal":{"name":"EJVES Vascular Forum","volume":"64 ","pages":"Pages 146-153"},"PeriodicalIF":1.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145332426","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Left Ovarian Vein Transposition to Restore Renal Venous Outflow in a Patient With Severe Pelvic Congestion After Multiple Endovascular and Failed Open Procedures for Nutcracker Syndrome","authors":"Fiorenza De Lisio,&nbsp;Domenico Baccellieri,&nbsp;Roberto Chiesa","doi":"10.1016/j.ejvsvf.2025.09.001","DOIUrl":"10.1016/j.ejvsvf.2025.09.001","url":null,"abstract":"<div><h3>Introduction</h3><div>Nutcracker syndrome (NCS) results from compression of the left renal vein between the superior mesenteric artery and aorta, leading to impaired venous outflow. This rare condition may cause a spectrum of symptoms, including haematuria, abdominal or pelvic pain, and features of pelvic congestion. Although endovascular stenting is a common treatment, it carries the risk of significant complications.</div></div><div><h3>Report</h3><div>A 29 year old woman presented with severe pelvic pain, left flank discomfort, and lower extremity oedema. Her history included a diagnosis of NCS treated by left renal vein (LRV) stenting, which was complicated by stent migration into the inferior vena cava that required open surgical removal and LRV re-implantation. This procedure was further complicated by retroperitoneal bleeding that necessitated surgical evacuation. At presentation, imaging revealed thrombosis of the reconstructed LRV and a markedly dilated left ovarian vein (LOV), which had become the main renal outflow pathway. Endovascular recanalisation of the reconstruction was attempted but failed. The patient subsequently underwent open surgical transposition of the LOV to the left external iliac vein via an extraperitoneal approach. Post-operative imaging confirmed patency of the transposed vessels and the patient experienced significant symptom relief.</div></div><div><h3>Discussion</h3><div>Nutcracker syndrome can present diagnostic and therapeutic challenges, especially in patients with previous failed interventions. While endovascular techniques are less invasive, they may be associated with serious complications, including stent migration. In selected cases, open surgery remains a valuable option. Transposition of the LOV to the external iliac vein may represent a feasible and effective alternative in patients with suitable anatomy and failure of other options.</div></div>","PeriodicalId":36502,"journal":{"name":"EJVES Vascular Forum","volume":"64 ","pages":"Pages 154-158"},"PeriodicalIF":1.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145332427","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}